مجله اصول بهداشت روانی

مجله اصول بهداشت روانی

Comparing brain behavioral systems, defense mechanisms, and cognitive-emotional regulation in patients with type I bipolar disorder and normal individuals

نوع مقاله : مقاله پژوهشی

نویسنده
Seyyedeh Mona Taghdisi Heydarian
M.Sc. in clinical psychology, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/jfmh.2022.20853
چکیده
Introduction: The present study compared the activity of brain behavioral brain systems, defense mechanisms, and cognitive-emotional regulation in patients with type I bipolar disorder and normal individuals.
 Materials and Methods: The statistical population of this causal-comparative research included type I bipolar patients in euthymic phase referred to Ibn-e-Sina Psychiatric Hospital in Mashhad- Iran, in January to October 2020. Thirty patients with type I bipolar disorder and thirty normal individuals were selected by the purposeful sampling method. The research instrument included Brain Behavioral Activation and Inhibition Activity System Questionnaire (BAS/BIS), Defense Styles Questionnaire (DSQ-40), and Cognitive-Emotional Regulation Questionnaire (CERQ-P). The data analyzed through descriptive statistics and multivariate analysis of variance.
 Results: The results showed that BAS/BIS, defense mechanisms, and cognitive-emotional regulation are different significantly in bipolar I patients and normal individuals (P< 0.05). Bipolar I patients had higher levels of BAS/BIS, immature defense mechanisms, psychosis, boredom with others, rumination, and catastrophe. The level of BAS/BIS, mature defense mechanism, acceptance, positive refocus, and positive refocusing on planning and reassessment was higher in normal individuals than in patients with type I bipolar disorder.
 Conclusion: The results showed that type I bipolar disorder is correlated with the components of all three variables of brain activation and brain inhibition systems, defense mechanisms, and cognitive-emotional regulation.
کلیدواژه‌ها
Bipolar disorder
Brain behavioral system
Cognitive-emotional regulation
Defense mechanisms
  1. Gordovez FJ, McMahon F. The genetics of bipolar disorder. Molec Psychiatry 2020; 25(3): 544-59.                                                                                      
  2. Van Rheenen TE, Lewandowski KE, Bauer IE, Kapczinski F, Miskowiak K, Burdick KE, et al. Current understandings of the trajectory and emerging correlates of cognitive impairment in bipolar disorder: An overview of evidence. Bipolar Disord 2020; 22(1): 13-27.               
  3. Rhee TG, Olfson M, Nierenberg A, Wilkinson ST. 20-year trends in the pharmacologic treatment of bipolar disorder by psychiatrists in outpatient care settings. Am J Psychiatry 2020; 177(8): 706-15.
  4. van den Wildenberg WP, van der Molen MW. Developmental trends in simple and selective inhibition of compatible and incompatible responses. J Exp Child Psychol 2004; 87(3): 201-20.                                 
  5. Carlson SM. Developmentally sensitive measures of executive function in preschool children. Dev Neuropsychol 2005; 28(2): 595-616.
  6. Gray JA, McNaughton N. The neuropsychology of anxiety: An enquiry into the functions of these septo-hippocampal system. New York: Oxford University; 2000: 53-98.     
  7. Depue RA, Krauss SP, Spoont MR. A two-dimensional threshold model of seasonal bipolar affective disorder. In: Magnuson D, Ohman A. (editors). Psychopathology: An interactional perspective. San Diego, CA: Academic Press; 1987: 95-123.
  8. Altman E, Hedeker D, Peterson, JL, Davis JM. A comparative evaluation of three self-rating scales for acute mania. Biol Psychiatry 2001; 50(6): 468-71.‏                                        
  9. Avila C, Parcet MA, Ortet G, Ibanez-Ribes Anxiety and counter-conditioning: the role of the behavioral inhibition system in the ability to associate aversive stimuli with future rewards. Pers Individ Dif 1999; 27(6): 1167-79.‏                                                  
  10. Alloy LB, Abramson LY, Walshaw PD, Cogswell A, Smith JM, Neeren AM, et al. Behavioral approach system (BAS) sensitivity and bipolar spectrum disorders: A retrospective and concurrent behavioral high-risk design. Motiv Emot 2006; 30(2): 143-55.
  11. Vaillant GE. Ego mechanisms of defense and personality psychopathology. J Abnorm Psychol 1994; 103(1): 44.                               
  12. Offer R, Lavie R, Gothelf D, Apter A. Defense mechanisms, negative emotions and psychopathology in adolescent inpatients. Compr Psychiatry 2000; 41(1): 35-41.
  13. Quintin J, Cheng SC, van der Meer JW, Netea MG. Innate immune memory: Towards a better understanding of host defense mechanisms. Curr Opin Immunol 2014; 29: 1-7.
  14. Majumdar S, Peralta-Videa JR, Bandyopadhyay S, Castillo-ichel H, Hernandez-Viezcas JA, Sahi S, et al. Exposure of cerium oxide nanoparticles to kidney bean shows disturbance in the plant defense mechanisms. J Hazard Mater 2014; 27)8(: 279-87.
  15. Nohie S, Hassani J. [Relationship between cognitive emotion regulation strategies and defense mechanisms with symptoms of borderline personality disorder]. Thought and behavior 2017; 11: 57-91. (Persian)     
  16. Ranjbari T, Besharat M, Pourhossein R. [The mediating role of defense mechanisms in the relationship between attachment disorders and symptoms of anxiety and depression]. Transformational psychology 2017; 14: 15-27. (Persian)                                                    
  17. Bradley R, Westen D. The psychodynamics of borderline personality disorder: A view from developmental psychopathology. Dev Psychopathol 2005: 17: 927-57.
  18. Besharat M. [Comparison of defense mechanisms in patients with depression, anxiety disorders and normal people]. Clinical psychology and counseling research 2013; 3(1): 41-54. (Persian)
  19. Schreiber LR, Grant JE, Odlaug BL. Emotion regulation and impulsivity in young adults. J Psychiatr Res 2012; 46(5): 651-8.‏
  20. Gruber J, Harvey AG, Gross J. When trying is not enough: Emotion regulation and the effort-success gap in bipolar disorder. Emotion 2012; 12(5): 997.                          
  21. Ongen DE. Cognitive emotion regulation in the prediction of depression and submissive behavior: Gender and grade level differences in Turkish adolescents. Procedia Soc Behav Sci 2010; 9: 1516-23.
  22. Xiao Q, Wu Z, Jiao Q, Zhong Y, Zhang Y, Lu G, et al. Children with euthymic bipolar disorder during an emotional go/no go task: Insights into the neural circuits of cognitive-emotional regulation. J Affect Disord 2021; 282: 669-76.
  23. Cisler JM, Olatunji BO. Emotion regulation and anxiety disorders. Curr Psychiatry Rep 2012: 14(3): 182-7.
  24. Carver CS, White TL. Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS Scales. J Pers Soc Psychol 1994; 67(2): 319-33.
  25. Mohammadi N. [Psychometric properties of inhibition system and behavior activation scales in Shiraz University students]. Clinical psychology and personality 2008; 6(1): 62-70. (Persian)
  26. Majdi H, Atadokht A, Hazrati S, Subhi Gharamaleki N. [Comparing brain behavioral systems and difficulty in emotional regulation in students with and without clinical symptoms of social anxiety disorder]. Clinical psychology and personality 2019; 17(1): 165-74. (Persian)
  27. Andrews G, Singh M, Bond M. The Defense Style Questionnaire. J Nerv Ment Disord 1993; 18(1): 246-56.
  28. Heidari Nasab L, Azad Fallah P, Shairi M. [Validity and reliability of the Questionnaire Defense Styles Questionnaire in Iranian samples]. Clinical psychology and personality 2007; 5(1): 11-27. (Persian)
  29. Garnefski N, Kraaij V. Relationships between cognitive emotion regulation strategies and depressive symptoms: A comparative study of five specific samples. Pers Individ Dif 2006; 40(8): 1659-69.‏
  30. Hassani J. [The psychometric properties of the Cognitive Emotion Regulation Questionnaire (CERQ)]. Journal of clinical psychology 2011; 3: 73-84. (Persian)
  31. Meyer B, Johnson SL, Carver CS. Exploring behavioral activation and inhibition sensitivities among college students at risk for bipolar spectrum symptomatology. J Psychopathol Behav Assess 2001; 21(4): 275-92.‏          
  32. Nabizadeh Chianeh Q, Poursharifi H, Farvarshi M. [Personality traits and behavioral inhibition/ activation systems in patients with schizophrenia, bipolar disorder, and normal individuals]. Clinical psychology 2010; 2: 51-63. (Persian)
  33. Saburi H, Bakhshi A, Gaderi Pakdel F. [The effect of motivational manipulation on brain processing speed in highly sensitive individuals in behavioral inhibitor/activator systems]. Researches on clinical psychology and consultation 2009; 10(1): 185-96. (Persian)           
  34. Arianakia E, Hasani J. [Impulsivity and cognitive emotional regulation strategies in patients with bipolar disorder and its impact]. News of cognitive sciences 2014; 11(2): 10-16. (Persian)        
  35. Bagheri M, Mulazadeh J. [Comparison of brain/ behavioral systems activity in patients with unipolar major depressive disorder, manic bipolar disorder and normal individuals]. Sadra medical sciences 2014; 2(3): 257-68. (Persian)
  36. Scholten MR, van Honk J, Aleman A, Kahn RS. Behavioral inhibition system (BIS), behavioral activation system (BAS) and schizophrenia: Relationship with psychopathology and physiology. J Psychiatr Res 2006; 40(7): 638-45.
  37. Wang L, Yin Y, Bian Q, Zhou Y, Huang J, Zhang P, et al. Immature defense mechanisms mediate the relationship between childhood trauma and onset of bipolar disorder. J Affect Disord 2021; 278: 672-7
  38. Kramer U, Roten Y, Perry JC, Despland JN. Specificities of defense mechanisms in bipolar affective disorder: Relations with symptoms and therapeutic alliance. J Nerv Ment Dis 2009; 197(9): 675-81.
  39. Bragazzi NL, Pezzoni F, Del Puente G. Investigating aggressive styles and defense mechanisms in bipolar patients and in their parents. Health Psychol Res 2014; 2(3): 1546.‏
  40. Gruber J, Hay AC, Gross J. Rethinking emotion: Cognitive reappraisal is an effective positive and negative emotion regulation strategy in bipolar disorder. Emotion 2014; 14(2): 388.‏ 
  41. Rowland JE, Hamilton MK, Lino BJ, Denny K, Hwang EJ, Green MJ, et al. Cognitive regulation of negative affect in schizophrenia and bipolar disorder. Psychiatry Res 2013; 208(1): 21-28.
  42. Khafif TC, Siqueira Rotenberg L, Nascimento C, Beraldi GH, Lafer B. Emotion regulation in pediatric bipolar disorder: A meta-analysis of published studies. J Affect Disord 2021; 285: 86-96.
  43. Meyer B, Johnson SL, Winters R. Responsiveness to threat and incentive in bipolar disorder: Relations of the BIS/BAS scales with symptoms. J Psychopathol Behav Assess 2001; 23(3): 133-43.‏

 

مجله اصول بهداشت روانی
دوره 24، شماره 4
مرداد و شهریور 1401
صفحه 281-290